Abstract:
BACKGROUND:Epidemiological studies suggest that only some distressed individuals seek help from primary care and that pathways to mental health care appear to be ethnically patterned. However few research studies examine how people with common mental disorder manage their mental distress, which help-seeking strategies they employ and whether these are patterned by ethnicity? This study investigates alternative help-seeking strategies in a multi-ethnic community and examines the relationship with primary care use. METHODS:Participants were recruited from four GP practice registers and 14 community groups in East London. Of 268 participants, 117 had a common mental disorder according to a valid and structured interview schedule (CIS-R). Participants were of Bangladeshi, black Caribbean and White British ethnic background. For those with a common mental disorder, we examined self-reported help-seeking behaviour, perceived helpfulness of care givers, and associations with primary care service use. RESULTS:We found that alternative help-seeking such as talking to family about distress (OR 15.83, CI 3.9-64.5, P < .001), utilising traditional healers (OR 8.79, CI 1.98-38.93, p = .004), and severity of distress (1.11, CI 1.03-1.20, p = .006) was positively associated with primary care service use for people with a common mental disorder. Ethnic background influenced the choice of help-seeking strategies, but was less important in perceptions of their helpfulness. CONCLUSION:Primary care service use was strongly correlated with lay and community help-seeking. Alternative help-seeking was commonly employed in all ethnic groups. A large number of people believed mental distress could not be resolved or they did not know how to resolve it. The implications for health promotion and integrated care pathways are discussed.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Rüdell K,Bhui K,Priebe Sdoi
10.1186/1471-2458-8-207subject
Has Abstractpub_date
2008-06-11 00:00:00pages
207issn
1471-2458pii
1471-2458-8-207journal_volume
8pub_type
杂志文章abstract:BACKGROUND:Research has shown that sexual minorities (SMs) (e.g. lesbian, gay, and bisexual individuals), compared to their heterosexual counterparts, may engage in riskier health behaviors, are at higher risk of some adverse health outcomes, and are more likely to experience reduced health care access and utilization....
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4937-9
更新日期:2017-12-19 00:00:00
abstract:BACKGROUND:Obesity is widespread in the world including developing countries. However malnutrition in poor areas is still a serious problem. Few investigations, especially in a large sample, have been performed in Western area of China. This study aimed to evaluate the nutritional status of school children aged 9-15 ye...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-636
更新日期:2012-08-10 00:00:00
abstract:BACKGROUND:Initiating and maintaining a healthy lifestyle -including healthy eating and sufficient physical activity- is key for cardiometabolic health. A health-promoting environment can facilitate a healthy lifestyle, and may be especially helpful to reach individuals with a lower socio-economic status (SES). In the ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5839-1
更新日期:2018-07-20 00:00:00
abstract:BACKGROUND:In Germany, vaccination against hepatitis B is recommended for infants, children and adolescents since 1995 and for specific target groups since 1982. Little is known about knowledge about viral hepatitis and attitudes toward hepatitis B vaccination-factors likely to influence vaccine uptake. METHODS:In ord...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-8-132
更新日期:2008-04-23 00:00:00
abstract:BACKGROUND:The likelihood of large-scale outbreaks of multidrug-resistant organisms (MDRO) is growing. MDRO outbreaks can affect a wide range of healthcare institutions. Control of such outbreaks requires structured collaboration between professionals from all involved healthcare institutions, but guidelines for cross-...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-6376-7
更新日期:2019-01-11 00:00:00
abstract:BACKGROUND:The association between risky sexual behaviours and substance uses among Ghanaian youth were investigated. METHODS:An in-school cross-sectional representative survey was conducted among 12-18-year- old youth in Ghana in 2008 (N = 1195, response rate =90%). Logistic regression analyses were employed to inves...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-571
更新日期:2012-07-29 00:00:00
abstract:BACKGROUND:While the majority of research in Bangladesh has focused on intimate partner violence (IPV) against women, less is known about the correlates of physical violence against unmarried female adolescents, particularly community-level characteristics that may increase their risk of experiencing violence. METHODS...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-1027
更新日期:2014-10-02 00:00:00
abstract:BACKGROUND:The use of cannabis and other illegal drugs is particularly prevalent in male young adults and is associated with severe health problems. This longitudinal study explored variables associated with the onset of cannabis use and the onset of illegal drug use other than cannabis separately in male young adults,...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-1202
更新日期:2014-11-22 00:00:00
abstract:BACKGROUND:Due to the limited evidence of the cost-effectiveness of Community Health Workers (CHW) delivering treatment for severe acute malnutrition (SAM), there is a need to better understand the costs incurred by both implementing institutions and beneficiary households. This study assessed the costs and cost-effect...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-018-6382-9
更新日期:2019-01-17 00:00:00
abstract:BACKGROUND:Previous studies of public perceptions of obesity interventions have been quantitative and based on general population surveys. This study aims to explore the opinions and attitudes of obese individuals towards population and individual interventions for obesity in Australia. METHODS:Qualitative methods usi...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-420
更新日期:2010-07-15 00:00:00
abstract:BACKGROUND:Smoking and physical inactivity are major risk factors for heart disease. Linking strategies that promote improvements in fitness and assist quitting smoking has potential to address both these risk factors simultaneously. The objective of this study is to compare the effects of two exercise interventions (h...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-015-2631-3
更新日期:2015-12-29 00:00:00
abstract:BACKGROUND:Approximately 65% of the United Arab Emirates (UAE) population are economic migrants from the low- and middle-income countries of South Asia. Emerging evidence suggests that expatriate populations from low or middle-income countries that migrate to high-income countries acculturate their lifestyle with the o...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1568-x
更新日期:2015-02-28 00:00:00
abstract:BACKGROUND:Stroke has a considerable socio-economic impact worldwide and is the leading cause of disabilities in the Western world. Economic studies of stroke focus merely on physical aspects and clinical interventions. To our current knowledge there is no comprehensive economic study investigating the economic impact ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-122
更新日期:2012-02-13 00:00:00
abstract:BACKGROUND:Despite substantial improvements in accessibility of Anti-Retroviral Treatment (ART), death of children on ART remains a prevailing challenge in sub-Saharan African (SSA) countries. However, the pooled magnitude of mortality at different ART follow-up periods remains unknown for the region. We estimated the ...
journal_title:BMC public health
pub_type: 杂志文章,meta分析
doi:10.1186/s12889-019-6482-1
更新日期:2019-02-04 00:00:00
abstract:BACKGROUND:Atherosclerotic cardiovascular diseases (ASCVD) are on the rise in low and middle-income countries attributed to modern sedentary lifestyle and dietary habits. This has led to the need of assessment of the burden of at-risk population so that prevention measures can be developed. The objective of this study ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08472-4
更新日期:2020-03-27 00:00:00
abstract:BACKGROUND:The Office of Public Health Preparedness and Response (OPHPR) in the Centers for Disease Control and Prevention conducts outreach for public preparedness for natural and manmade incidents. In 2011, OPHPR conducted a nationwide mobile public health (m-Health) campaign that pushed brief videos on preparing for...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3104-z
更新日期:2016-05-25 00:00:00
abstract:BACKGROUND:Injection overuse and unsafe injection practices facilitate transmission of bloodborne pathogens such as hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV). Anecdotal reports of unsafe and unnecessary therapeutic injections and the high prevalence of HBV (8.0%), HCV (6.5...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-5-56
更新日期:2005-06-02 00:00:00
abstract:BACKGROUND:More research on factors associated with physical activity and the decline in participation during adolescence is needed. In this paper, we investigate the levels, change, and stability of physical activity during the late teens among ethnic Norwegians and ethnic minorities, and we examine the associations b...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-8-419
更新日期:2008-12-22 00:00:00
abstract:BACKGROUND:The World Health Organization prioritises a more holistic global response to end the tuberculosis (TB) epidemic by 2030. Based on experiences in the HIV response, social protection, and in particular cash transfers, show promise for contributing to this. Currently, individual-level evidence for the potential...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5962-z
更新日期:2018-08-22 00:00:00
abstract:BACKGROUND:The present study aimed to explore a longitudinal relationship between fruit and vegetable consumption in adolescence and two health-related outcomes (i.e., self-rated health and mental health) in early adulthood in the community. METHODS:Data from a longitudinal cohort of the Canadian National Population H...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-1206
更新日期:2013-12-20 00:00:00
abstract:BACKGROUND:Little is known about patterns in the transition from healthy weight to overweight or obesity during the elementary school years. This study examined whether there were distinct body mass index (BMI) trajectory groups among elementary school children, and predictors of trajectory group membership. METHODS:T...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3159-x
更新日期:2016-07-07 00:00:00
abstract:BACKGROUND:In Ethiopia, malaria is one of the public health problems, and it is still among the ten top leading causes of morbidity and mortality among under-five children. However, the studies conducted in the country have been inconclusive and inconsistent. Thus, this study aimed to assess factors associated with mal...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09560-1
更新日期:2020-09-29 00:00:00
abstract:BACKGROUND:Since the late nineties, no study has assessed the trends in management and in-hospital outcome of acute myocardial infarction (AMI) in Switzerland. Our objective was to fill this gap. METHODS:Swiss hospital discharge database for years 1998 to 2008. AMI was defined as a primary discharge diagnosis code I21...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-270
更新日期:2013-03-25 00:00:00
abstract:BACKGROUND:Children and adolescents are important target groups for prevention of overweight and obesity as overweight is often developed early in life and tracks into adulthood. Research into behaviors related to overweight (energy balance-related behaviors) and the personal and environmental determinants of these beh...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-8-142
更新日期:2008-04-28 00:00:00
abstract:BACKGROUND:Interventions to increase physical activity or reduce sedentary behaviour within the workplace setting have shown mixed effects. This cluster randomised controlled trial assessed whether multi-component interventions, focusing on changes at the individual, environmental, and organisational levels, either inc...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-020-09433-7
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:Technological advances have caused poor mobility and lower physical activity among humankind. This study was conducted to assess the impact of a digital media-based (multi-media, internet, and mobile phone) health intervention on promotion of women's physical activity. METHODS:In this quasi-experimental stu...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-018-5025-5
更新日期:2018-01-15 00:00:00
abstract:BACKGROUND:Smoking prevention programs have been taught in schools to reduce the high smoking prevalence and its related problems among adolescent populations. Although short-term benefits have been observed, the long-term effectiveness of such programs appear to be inconsistent. This study aims at investigating the lo...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-015-2428-4
更新日期:2015-10-24 00:00:00
abstract:BACKGROUND:An ageing workforce combined with increasing health problems in ageing workers implies the importance of evidence-based interventions to enhance sustainable employability. The aim of this study is to evaluate the effectiveness of the 'Staying healthy at work' problem-solving based intervention compared to bu...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1410-5
更新日期:2015-02-04 00:00:00
abstract:BACKGROUND:Low 25-hydroxyvitamin D levels are a global health problem with northern countries such as Canada at particular risk. A number of sociodemographic factors have been reported to be associated with low vitamin D levels but prior studies have been limited by the ability of the researchers to gather this data di...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-316
更新日期:2013-04-08 00:00:00
abstract:BACKGROUND:Performing a tick check after visiting nature is considered the most important preventive measure to avoid contracting Lyme disease. Checking the body for ticks after visiting nature is the only measure that can fully guarantee whether one has been bitten by a tick and provides the opportunity to remove the ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4908-1
更新日期:2017-11-25 00:00:00